Dry Needling

Dry needling is a specialized technique that focuses on targeting trigger points in the muscular system. Our providers target trigger points using hollow-core hypodermic needles, resulting in muscle pain relief. They use this common therapeutic method for myofasical pain syndromes and other muscle-related discomfort. Dry needling stimulates the muscles to relieve tension at the root.

Dry needling, like acupuncture, uses deliberate placement of needles to target points with a purpose. Unlike acupuncture, dry needling targets muscles based on physical therapy and chiropractic principles of the muscular system. This educational targeted needling is the key distinction between dry needling and acupuncture. Our providers use dry needling and certified techniques to focus on the connection between trigger points. They improve these techniques through training, certification, and continued education to provide unrivaled care to patients. At ESP, we believe in practicing chiropractic and physical therapy techniques that have a solid physiological and orthopedic basis.

cupping therapy

Cupping therapy is a specialized form of alternative treatment. Providers place vacuum cups on areas of the skin to create suction and release tension. The providers at ESP use handheld or electric vacuum pumps to create a strong pull. They perform the therapy to promote blood flow and enhance relaxation. Providers also use this therapy to help reduce pain and inflammation. Vacuum cupping may seem like an emerging trend, but it’s roots trace back to ancient Egyptian, Chinese, and Middle Eastern practices.

Over the past several years cupping therapy has become more accepted in the health field. As research has progressed, there is more support for this non-traditional therapy. Dr. St. Pierre has used cupping in combination with Graston Technique® and dry needling throughout his career. He has used these practices during his time as an Olympic trainer to promote accelerated healing. Instead of waiting to heal, these practices enhance the healing process and promote change.

The practice of cupping works by creating a vacuum that suctions your skin. This suction causes the skin to rise and swell. This rising and swelling stimulates your blood vessels, releasing tension. Once we remove the cups you may experience elevated relaxation, comfort, and mobility. This practice requires undivided focus, targeted training, and a comprehensive understanding of the body. The ESP team has professionally trained in cupping therapy and regularly performs this treatment with delicacy and care.

Graston Technique®

Graston Technique® is a patented deep tissue treatment performed with specialty instruments. These instruments help detect tense tissue treat it with deep pressure and tactile focus. The use of Graston Technique® enables our physical therapy and chiropractic team to treat areas with unrivaled precision.

The technique uses flat stainless-steel instruments to scrape the outer layers of skin. This scraping stimulates blood flow and releases tension in muscle knots. Practitioners who wish to practice this technique are certified. Dr. St. Pierre is a certified Graston Technique® professional and has trained others in the technique.


ART is a state-of-the art soft tissue movement-based technique that treats problems with muscles, tendons, ligaments, fascia and nerves. It focuses on relieving tissue tension by removing adhesions. These adhesions often develop because of overuse or repetitive use. Often overuse injuries manifest as weakness, numbness, burning, or aching. Our providers use manual therapy to pin the affected area. After pinning the area, we instruct the patient instructed to move so that the area is in a lengthened position. This provides a sliding motion that helps restore motion, release nerves, and improves function.



BFR has many uses in chiropractic and physical therapy. First, it allows for faster recovery. Studies have shown that restricting the blood flow to an area and then doing low intensity exercise stimulates growth hormones. These hormones allow the body to recovery at a quicker rate. Second, it allows for higher healing potentials. Since the body can recover quicker, you will be able to move forward in your rehabilitation and exercises more efficiently. Third, it limits the loss of strength from injury. This means that you start from a much better place than you would without BFR.

Studies show the technique stimulates the brain and promotes healing, even when unable to tolerate heavy training. This is great for anyone preparing for or who recently had surgery. It is also a wonderful tool for injured athletes because they can keep much of their strength while doing rehab. Studies also prove it helps with acute muscle/tendon injuries, chronic tendinitis, and ligament/arthritis injuries. The therapy is also safe for all ages. Let us help boost your injury rehab or help an old injury turn the corner.


Keeping active is important for maintaining a healthy lifestyle. However, all athletes deal with a certain amount of post training muscle micro-trauma and exercise-induced inflammation.  Recovery from training associated trauma is a crucial component to maintain a healthy lifestyle. Athletes who do not adequately recover from training often end up with exercise-induced injuries. Muscle strains, swelling, and movement dysfunction are commonly among these injuries. Studies have found dynamic compression to be especially effective for post training recovery. It also helps accelerate recovery, reduce edema, promote lymph flow, and improve circulation. The NormaTec Recovery system uses dynamic compression to mimic the body’s natural muscle pump. All in all, NormaTec is a great tool to remove fluid and metabolites out of the extremities after a workout.

B-12 Injections

The providers at ESP recommend B-12 injections for people who are susceptible to B-12 deficiencies. This includes smokers, diabetics, aging populations, people with gastrointestinal disorders, and vegetarians/vegans. The benefits include improved red blood cell formation, bone health, mood, brain health, and energy.

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